This page has been edited 1 times. The last modification was made by - cfarnitano on Dec 17, 2014 7:18 am
Below are recommended vaccines and screening lab tests for refugees who have recently arrived in the US. Most refugees are required to these tests are part of the official US refugee program.
What do providers need to know when they see a patient in their clinic for a refugee health screening? Our public health division has taken multiple steps to make this process easier for providers:1. The provider will usually get an inbasket message at the time the appointment is scheduled alerting them that they have an upcoming refugee health screening. This inbasket message will spell out specifically what vaccines and lab tests the patient needs. Many providers cut and paste this list into a note or the problem list in advance, or simply order the tests and vaccines at that time, to be administered when the patient arrives for the appointment.2. The lists of required labs and vaccines for refugees will be scanned into the patient's chart under the media tab. This list is now also on iSite and the ccrmc wiki (ccrmc.wikispaces.com, search "refugee").3. Most of these patients are healthy. Focus on obtaining the required vaccines and labs and a brief health assessment. If all the required labs and vaccines are not done you likely will get a message from public health asking you to order what's missing. If needed the patient can be brought back for further assessments.4. One common omission is ordering a CBC instead of a CBC w/diff. The differential is needed to check for eosinophilia, a marker for parasitic disease. Another is ordering a chronic hep panel but not a Hep B SAb as well. The Hep B Sab is not part of the chronic hep panel but is required. See the attached lists.Maggie Nguyen in the public health division is a resource to contact if you have further questions
REFUGEE HEALTH ASSESSMENT PROGRAM (RHAP) REQUIRED LABORATORY TESTS
TESTS
FEFUGEES
QuantiFeron TB test
All Refugees
Complete Blood Count (CBC) and evaluation of eosinophilia
All Refugees
Complete Hepatitis panel, including:
Hepatitis B surface Antigen (HBsAg)
Hepatitis B surface antibody (anti-HBs) and Hepatitis B core antibody (anti-HBc)
And Hepatitis C Antibody Screen (anti-HCV)
This page has been edited 1 times. The last modification was made by -
Below are recommended vaccines and screening lab tests for refugees who have recently arrived in the US. Most refugees are required to these tests are part of the official US refugee program.
What do providers need to know when they see a patient in their clinic for a refugee health screening?
Our public health division has taken multiple steps to make this process easier for providers:1. The provider will usually get an inbasket message at the time the appointment is scheduled alerting them that they have an upcoming refugee health screening. This inbasket message will spell out specifically what vaccines and lab tests the patient needs. Many providers cut and paste this list into a note or the problem list in advance, or simply order the tests and vaccines at that time, to be administered when the patient arrives for the appointment.2. The lists of required labs and vaccines for refugees will be scanned into the patient's chart under the media tab. This list is now also on iSite and the ccrmc wiki (ccrmc.wikispaces.com, search "refugee").3. Most of these patients are healthy. Focus on obtaining the required vaccines and labs and a brief health assessment. If all the required labs and vaccines are not done you likely will get a message from public health asking you to order what's missing. If needed the patient can be brought back for further assessments.4. One common omission is ordering a CBC instead of a CBC w/diff. The differential is needed to check for eosinophilia, a marker for parasitic disease. Another is ordering a chronic hep panel but not a Hep B SAb as well. The Hep B Sab is not part of the chronic hep panel but is required. See the attached lists.Maggie Nguyen in the public health division is a resource to contact if you have further questions
REQUIRED LABORATORY TESTS
Hepatitis B surface Antigen (HBsAg)
Hepatitis B surface antibody (anti-HBs) and Hepatitis B core antibody (anti-HBc)
And Hepatitis C Antibody Screen (anti-HCV)
Month
Months
Months-6
Years
Years
Years
Years
Years
1957
8 months
(MCV4)
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California Refugee Health Program Policyand Procedure Manual September2013